Slava Kurdov and Alex Buzov, Billing Department, WCH
Podiatry coding looks simple on paper. In practice, it is one of the most denial-prone specialties in medical billing — and most of those denials are preventable.
Podiatric medicine sits at an awkward intersection of general medicine, surgery, and DME, governed by a patchwork of Medicare rules, NCCI edits, payer-specific policies, and frequency limits that don’t always talk to each other. A podiatrist who correctly treats a diabetic patient’s nails, uses the right CPT code, pairs it with the right ICD-10 diagnosis, and still gets denied — is not doing anything wrong. They are simply missing one of the many invisible layers that separate a paid claim from a recoupment letter.
This article walks through the most consequential coding and compliance principles for podiatry practices — drawn from the AAPC Tashkent Chapter’s recent training session on the subject.
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